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NURS 325 Exam 3 Study Guide
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NURS 325 Exam 3 Study Guide
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NURS 325 Exam 3 Study Guide7 warning signs of cancer Correct Answers -change in
bowel/bladder habits
-sore that doesn't heal.
-unusual bleeding or discharge
-thickening or lump in breast or elsewhere
-indigestion or difficulty swallowing lasting longer than 2 weeks
-change in mole or wart
-nagging cough or hoarsness
ACE-I Correct Answers inhibit ACE action, vasodilate,
increase sodium and water excretion, may prevent/limit
ventricular remodeling, decrease endothelial dysfucntion
RISKS/considerations: dry/hacking cough, angioedema,
hyperkalemia, ASA/NSAIDS may decrease effectiveness
lisinopril (prinivil), benzepril (lotensin), captopril (captopen),
enalapril (vasotec)
advanced directive Correct Answers a legal document
prepared by a living, competent adult to provide guidance to the
health care team if the individual should become unable to make
decisions regarding his or her medical care; may also be called a
living will or durable power of attorney for health care
aldosterone antagonists (K+ sparing diuretics) Correct Answers
binds to receptors at aldosterone-dependent sodium-potassium
exchange in distal renal tubule; block neurohormonal effects of
aldosterone on heart blood vessels
,RISKS: hyperkalemia, gynecomastia in males
spironolactone (aldactone), eplerenone (Inspra)
Angina clinical manifestations Correct Answers referred pain
(L shoulder/arm) and pain lasts 3-5 min and subsides when
precipitating factor is relieved
chronic stable angina: intermittent chest pain over time w/ same
pattern of onset, duration, and intensity
angina medical care/pt teaching Correct Answers med admin
(nitrates, beta-adrenergic blockers, ca-channel blockers, ACE-I,
lipid lowering, antiplatelets
angina nursing care/nursing dx Correct Answers admin short
acting nitrate (sublingual) for acute chest pain; admin long
acting nitrates to reduce angina attacks
PQRST assessment (Precipitating factors/events; Quality of
pain; Radiation of pain; Severity of pain; Timing)
nursing dx:
-impaired CO
-acute pain
-anxiety
-activity intolerance
antiplatelets Correct Answers inhibit platelet aggregation
prevent MI/stroke
, aspirin, clopidogrel (plavix)
ARBs Correct Answers prevent angiotensin II from binding to
its receptors in the walls of the blood vessels; vasodilation,
decrease fluid volume, improve renal blood flow, promote
reverse remodeling
CONSIDER: may take 3-6 wk for full effect, used as alternative
to ACE-I b/c of cough; monitor of hyperkalemia
candesartan (atacand), eprosartan (teveten), irbesartan (avapro),
losartan (cozaar)
beta-blockers Correct Answers inhibit sympathetic nervous
system effect on heart; decrease HR, contractility, BP, afterload,
and myocardial O2 demand
RISKS: bradycardia, hypotension, wheezing, depression, sexual
dysfunction
-avoid w/ asthma and DM
atenolol (tenormin), metoprolol (lopressor), nadolol (corgard),
carvedilol (coreg)-{combo beta/alpha blaocker}
Blood glucose levels (fasting plasma glucose) Correct Answers
normal: 70-99 mg/dL
low: <70 mg/dL
high: >/=126 mg/dL
**IF glucose <70, administer hypoglycemic treatment then
recheck blood sugar every 15 min until 70.
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